An inmate at a Texas hospital escaped from his restraints, fought off a detention officer, jumped from a third-story window and remained on the loose for three hours Wednesday morning.

The Greenville Herald-Banner reports Jose Maria Pedraza-Cervantes had been transported to Lake Pointe Medical Center in Rowlett, about 20 miles northeast of Dallas, with an undisclosed medical issue. He was restrained with foot shackles when he escaped at about 5:15 a.m.

According to Lt. Greg Welch of the Rockwall County Sheriff’s Office, Pedraza-Cervantes was being guarded by two detention officers. After the male officer went to use the bathroom, Pedraza-Cervantes slipped out of his restraints and broke a window by head-butting it. The female detention officer called for the other officer, who wrestled with Pedraza-Cervantes and sustained minor injuries. The inmate was able to free himself before he jumped from the third story window to a first story roof.

Welch said Pedraza-Cervantes left behind a trail of blood and apparently tried to get into a vehicle before heading for nearby Lake Ray Hubbard, where Welch said it’s believed he was looking for a boat to escape in.

Pedraza-Cervantes then crossed Interstate 30, where he was spotted by a deputy who tracked him to where he was hiding behind a concrete barrier. According to Welch, Pedraza-Cervantes was curled up and was apprehended without resisting. He was then taken back to the hospital after being checked by medics.

The Rockwall County Sheriff’s Office’s Criminal Investigation Division is investigating the incident, and more charges could be filed against Pedraza-Cervantes, Welch said.

The Greenville (Texas) Herald-Banner contributed to this story.